NPI 1336418508
Clayton R Wilson, MSRSCC
Practice location
- Address
- 2220 Vestal Rd, Vestal, NY 13850-1940
- Phone
- (210) 380-2671
- Mailing address
- PO Box 551, Endicott, NY 13761-0551
Registered specialties
Kinesiotherapist
Primary
Registry record
- NPI
- 1336418508
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Dec 2011
- Record last updated
- 17 Dec 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.